Individual
JACKI ESTOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 361-2414
Mailing address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 361-2414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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